Common Contracts
1 similar Outpatient Physical Therapy Facility Traditional Participation Agreement contracts
OUTPATIENT PHYSICAL THERAPY FACILITY TRADITIONAL PARTICIPATION AGREEMENTOutpatient Physical Therapy Facility Traditional Participation Agreement • April 18th, 2022 • Michigan
This Agreement by and between Blue Cross Blue Shield of Michigan (“BCBSM”), a nonprofit health care corporation, and the undersigned Outpatient Physical Therapy Facility (“Provider”), that is located in Michigan and authorized under applicable state law to conduct business, and whose tax name, business name (or DBA) and primary site address are listed on the accompanying Signature Document. Pursuant to this Agreement, BCBSM and Provider agree as follows:
